CAJ | 학술논문

目的总结经皮穿刺扩张气管切开术在重症监护室（ICU）的应用经验，推广该项技术在临床的应用，进一步改进该项技术。方法采用随机分组，观察经皮扩张气管切开术Ⅱ组在临床应用的情况，并与传统开放性气管切开术Ⅰ组对比优缺点。结果Ⅱ组手术时间（7.5±1.5）min较Ⅰ组（34.1±8.95）min明显缩短（t=12.733，P＜0.01）。Ⅱ组并发症的发生率明显低于Ⅰ组（x2=12.4576，P＜0.01），切口大小、出血量、切口愈合时间方面，亦优于Ⅰ组；费用方面Ⅱ组较Ⅰ组有所增加。结论经皮穿刺扩张气管切开术具有安全、简单、快速、创伤小、花费低廉的优点，可基本取代传统的气管切开术。
목적총결경피천자확장기관절개술재중증감호실（ICU）적응용경험，추엄해항기술재림상적응용，진일보개진해항기술。방법채용수궤분조，관찰경피확장기관절개술Ⅱ조재림상응용적정황，병여전통개방성기관절개술Ⅰ조대비우결점。결과Ⅱ조수술시간（7.5±1.5）min교Ⅰ조（34.1±8.95）min명현축단（t=12.733，P＜0.01）。Ⅱ조병발증적발생솔명현저우Ⅰ조（x2=12.4576，P＜0.01），절구대소、출혈량、절구유합시간방면，역우우Ⅰ조；비용방면Ⅱ조교Ⅰ조유소증가。결론경피천자확장기관절개술구유안전、간단、쾌속、창상소、화비저렴적우점，가기본취대전통적기관절개술。
Objective To summarize application experience of the percutaneous dilatational tracheostomy in the intensive care unit (ICU) to promote this technology in clinical application and further improve the technology. Methods Patients were grouped in random and the clinical application status(group Ⅱ ) of the percutaneous dilatational tracheostomy (group Ⅰ )was observed and compared with the traditional operational tracheostomy for advantages and disadvantages. Results operation time of the groupⅡ(7.5 ± 1.5) min was significantly less than the group Ⅰ (34.1 ± 8.95) min (t= 12.733,P < 0.01).The incidence of complications of the group Ⅱ was significantly lower than the group Ⅰ (x2=12.4576,P < 0.01),as well as the incision size, blood loss and incision healing time;the cost of the group Ⅱ was higher than group Ⅰ. Conclusion The percutaneous dilatational tracheostomy is safe,simple,rapid,less traumatic and low in cost, which can replace the traditional operational tracheotomy.